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Billing code

K960A — Weekdays Daytime (07:00 - 17:00)

ED special visit travel, daytime

Bill K960 when a physician not on ED duty makes a non-elective trip to the emergency department on a weekday, 07:00–17:00.

Watch for: Submit it on the same claim as the A-prefix assessment; not for ED physicians, maximum 2 per time period.

Code

K960A

Description

Weekdays Daytime (07:00 - 17:00)

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Apr 1, 2026

Termination date

No end date

Explanation

Updated October 26, 2026

Travel premium for a non-elective trip to a hospital emergency department on a weekday between 7:00 and 17:00. Not for ED physicians.

What it covers

K960 is the Table I travel premium for a special visit to an emergency department on weekdays, 07:00 to 17:00 (GP70). A travel premium pays for travel from one location to another (GP66).

Table I premiums are for physicians who are not the scheduled or on-call emergency department physicians (GP67, GP70).

Billing rules

• Maximum 2 per time period (GP70).
• One travel premium per trip, however many patients you see (GP66).
• Not payable for moving within the same hospital complex or between buildings on the same hospital campus (GP66).
• Not payable to Emergency Department Physicians as defined on GP67; they use Table V (GP67).
• Not payable with H-prefix emergency department codes, for patients seen on rounds, or for elective admissions (GP65).
• Bill an A-prefix service from the General Listings with the premium, and chart the time of the visit (GP69).

Often billed with

• K990 first person seen premium, weekday daytime (payable on weekday daytime only when a travel premium is payable) (GP66, GP70).
• K991 additional person seen premium (GP70).

Common rejections

• AD9: 'Premium not allowed alone': submit K960 on the same claim as the service it goes with (GP69).

Related codes: K990, K991, K961, K962, K963, K964, C960

Source: Schedule of Benefits (July 1, 2026), General Preamble, Special Visit Premiums, page GP70.

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